Joshua Kyle Rucker, DC | |
5908 Toole Dr Ste E, Knoxville, TN 37919-4172 | |
(865) 444-5994 | |
Not Available |
Full Name | Joshua Kyle Rucker |
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Gender | Male |
Speciality | Chiropractor |
Location | 5908 Toole Dr Ste E, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043612369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2792 (Tennessee) | Primary |
Provider Name | Rocky Top Chiropractic, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255001327 PECOS PAC ID: 5395134332 Enrollment ID: O20211115000283 |
Mailing Address | Practice Location Address |
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Joshua Kyle Rucker, DC 5908 Toole Dr Ste E, Knoxville, TN 37919-4172 Ph: (865) 444-5994 | Joshua Kyle Rucker, DC 5908 Toole Dr Ste E, Knoxville, TN 37919-4172 Ph: (865) 444-5994 |
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